| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.09 | $3,162.28 | $4,786.30 | |
Regence BlueShield
| Facility | $1,348.96 | $1,584.89 | $3,630.78 | |
U of Utah Health Plan
| Professional | $213.80 | $467.74 | $660.69 | |
United
| Facility | $1,096.48 | $2,818.38 | $5,128.61 |